1.
2. Endodontic m.c.q
1. If the maxillary first molar is found to have 4 canals, the 4th
canal is most found :
a. In the disto-buccal root
b. In the mesio-buccal root
c. In the palatal root
d. All of the above
2. Step back or backfilling means; to instrument the root canal
to the full length predetermined working length.
a. True
b. False
3. The " Working Length" of a tooth refers to:
a. The total length of a tooth from crown tip to root tip.
b. The measured length of a radiograph of the tooth.
c. The distance between a reference point on the crown and
the apical limit of the tooth.
d. None of the above.
4. A central incisor diagnostic (pre operative) radiograph
image measures 25mm from the incisal edge to the root apex.
The estimated (initial) working length is :
a. 21mm
b. 25mm
c. 23mm
d. 27mm
5. You are taking a working length radiograph of a normally
positioned maxillary premolar with 2 equal length roots. In the
mesial shift (relative to the "normal" diagnostic radiograph)
the palatal root apex in relation to the zygomatic process
"moves" to the:
a. Occlusal
b. Apical
c. Distal
d. Mesial
6. The main objective of root canal obturation is to allow an
ingress of tissue fluid exudates into the root canal space.
a. True
b. False
7. Gutta Percha points consist mostly of:
a. Gutta Percha
b. Zinc oxide
c. Zinc phosphate
d. Glass ionomer
8. Requirements of an ideal root canal filling material include
the following except:
a. Dimensional stability: no shrinkage after insertion
b. Non-irritant to periapical tissue
c. Radiolucent when viewed by radiograph
d. Easy to remove from the canal if necessary
رد مع اقتباس
3. 24-03-2011 02:51 PM#2
محمد زغلول.د
مشرف قسم طب األسنان
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9. Leaving the tooth open between appointment during root
canal therapy could lead to:
a. Healing of the periapical lesion
b. Bacterial contamination of the root canal system
c. Neither A nor B
10. In instrumentation you should use a curved file.
a. True
b. False
11. Root canal sealer cement is used mainly to:
a. Create radioopacity
b. Fill in voids and canal irrigularities
c. Disinfect the root canal system
d. Strengthen the filling
12. An irrigating solution is used during root canal therapy to:
a. Lubricate the canal
b. Flush out debris
c. Aid in cleaning the canal
d. All of the above
e. None of the above
13. Which of the following are explanation as to why the initial
gutta percha master cone will not completely go to full
working length even though it is same number as the last
enlarging instrument used?
a. Debris remain in the canal
b. A ledge exists in the canal upon which the point is catching
c. None of the above
d. All of the above
14. You started instrumenting the root canal until you reached
the master apical file size #30 K, a series of files are used after
the MAF with 1mm short of each other. The technique is
called:
a. Recapitulation
b. Step-back
c. Tug-back
d. None of the above
15. Which of the following is an error occurred during
obturation of the root canal?
a. Ledge formation
b. Voids
c. Filling lateral canal
d. Broken instrument
16. The "TUGBACK" of the master gutta percha cone refers
to:
a. The tensile strength of the gutta percha cone
b. The retention of the cone in the apical portion of the canal
c. The retention of the cone in the coronal half of the canal
d. None of the above
رد مع اقتباس
4. 24-03-2011 02:54 PM#3
محمد زغلول.د
مشرف قسم طب األسنان
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17. The following are common errors can be created during
access opining process
a. Perforation of the crown or the furcation area
b. Making the access opining through the distal surface of the
tooth
c. Complete removal of caries
d. A, B, and D
18. Limitation of radiograph includes
a. Only 2 dimensions are shown on a single film
b. Various states of pulpal and periradicular pathosis are
indistinguishable in the x-ray shadow
c. Lesions of the cortical bone are likely to go undetected
d. A and B
e. All of the above
19. Objectives of rubber dam:
a. Patient protection
b. Facilitate and increase efficiency
c. Minimize cross-infection
d. Legal consideration
e. All of the above
20. In giving local anesthesia in endodontics:
a. Maxilla bone is less dense than mandible
b. Buccal infiltrations or supraperiosteal injection are
sufficient to obtain pulpal anesthesia in maxilla and mandible
c. Block anesthesia is more effective in mandible
d. A and C
e. All of the above
21. Mesiobuccal root of upper 1st molar is innervated by:
a. PSA nerve
b. MSA or ASA nerve
c. None of the above
22. In inferior alveolar nerve block
a. Pulpal anesthesia obtained from central incisor to 3rd
molar
b. Usually results in lingual nerve block as well
c. Anesthetize buccal soft tissues of molar region
d. All of the above
e. A and B
23. Purpose of the access cavity
a. Access to the end of the root
b. Controlled instrument placement
c. Allow removal of debris
d. Allow introduction of materials and instruments
e. All of the above
24. In endodontic access preparation of maxillary anterior
teeth, all statements are true except:
a. Entrance is always gained through the lingual surface
b. Initial entrance is prepared a right angle to the long axis of
the tooth
c. No. 1 or 2 round bur must be used internally to open the
coronal part
d. The preliminary cavity outline is triangular in shape
رد مع اقتباس
5. 24-03-2011 02:57 PM#4
محمد زغلول.د
مشرف قسم طب األسنان
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25. If there are 2 canals in the distal root of mandibular 1st
molar they usually:
a. Each have their own apical foramen
b. Begin as a single canal and bifurcate in the apical half
c. Begin as 2 canals and join and exit as one
d. Are smaller than the mesial canal
26. A root that seldom contains 2 canals is the:
a. Distobuccal root of the maxillary molar
b. Mandibular central incisor
c. Maxillary second premolar
d. Distal root of the mandibular molar
27. The access outline form
a. Should be somewhat smaller than the form created by
connecting thr root orifices
b. Reflects the shape of the crown of the tooth
c. Should extend onto the tooth's marginal ridges
d. All of the above
28. Entry into maxillary central incisor is made
a. Below (apical to) the cingulum in the direction of the long
axis of the tooth
b. Just coronal to the cingulum in the direction of the long
axis of the tooth
c. To include the marginal ridges
d. With a slow speed bur
29. The maxillary 1st premolar
a. Canal orifices lie beneath the central groove
b. Is similar in length to the maxillary canine
c. May have one, two, or three canals
d. All of the above
e. None of the above
30. Nerve fibers of the dental pulp are classified according to
their:
a. Function
b. Diameter
c. Conduction velocity
d. All of the above
31. The diameter of the A-delta sensory nerve fiber of the pulp
is:
a. 5-12 μm
b. 5-12 cm
c. 1-5kg
d. 1-5 μm
32. The fluid movement in dentinal tubles (Hydrodynamic
theory) is of dentin sensitivity (pain). It was introduced by:
a. Brannstrom 1966
b. Byers 1980
c. Kim 1983
d. None of the above
رد مع اقتباس
6. 24-03-2011 02:58 PM#5
محمد زغلول.د
مشرف قسم طب األسنان
تاريخ التسجيل
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33. The following theories were suggested to explain the
dental pain:
a. There is a direct stimulation of nerve endings in dentin
b. The odontoblast do not acts as a receptor cell
c. The hydrodynamic theory
d. A and C only
e. All of the above
34. Most of nerves of the pulp fall into 2 main categories A
and C has the following characteristics :
a. Myelinated
b. Usually associated with tissue injury
c. Has a diameter of 1-5 mm
d. All of the above
35. The diameter of the C- sensory nerve fiber of the pulp is :
a. 1-5μm
b. 5-12μm
c. 0.4-1 cm
d. 0.4-1μm
36. The pain characteristics of A-fibers is:
a. Dull, burning
b. Mild
c. Sharp and pricking
d. None of the above
37. Pulpal blood flow is usually regulated by:
a. Amoxicillin 250mg
b. Panadol 500mg
c. Arterio-venous anastomosis
d. None of the above
38. Capiliary blood flow in the coronal portion of the dental
pulp is double root portion.
a. True
b. False
39. The detailed network arrangement of pulpal microvascular
in … viscosity synthetic resin "Corrosion Resin Cast" and
scanning electromicroscop was first studied by:
a. Saunders 1957
b. Takahashi 1982
c. Avery 1970
d. None of the above
40. The following structural elements are found in the pulp:
a. Fibroblast and odontoblasts
b. Undifferentiated mesenchymal cells and ameloblasts
c. Fibers, ground substances and osteoclasts
d. All of the above
41. Calcification can occur in the dental pulp as:
a. Abnormal irregular dentin production
b. Free, attached and embedded denticles
c. All of the above
d. None of the above
رد مع اقتباس
7. 24-03-2011 02:59 PM#6
محمد زغلول.د
مشرف قسم طب األسنان
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42. The first beginning of dental papilla is seen at the :
a. 8th week of fetal life of cap stage
b. 8th week of fetal life of bell stage
c. Dental papilla has nothing to do with tooth development
d. All of the above
43. Dentin is composed of:
a. 7% inorganic material
b. 17% inorganic material
c. 70% organic material
d. 70% inorganic material
44. Which statement is correct ?
a. Tissue engineering is the field of functional restoration of
tissue structural physiology for impaired or damaged tissue
because of cancer, diseases or trauma.
b. Tissue engineering is the field of functional endodontic of
tissue structural microbiology for impaired or damaged tissue
because of cancer, diseases or trauma.
45. The key elements of tissue engineering are:
a. Bacterial cells, morphogens, and a scaffold of extracellular
matrix
b. Stem cells, morphogens, and a scaffold of extracellular
matrix
c. Blasma cells, morphogens, and a scaffold of intracellular
matrix
d. All of the above
46. The success rate of endodontic therapy has been found to
be _________ in studies on teeth with no periapical
periodontitis at the time of treatment.
a. 35% - 45%
b. 55% - 67%
c. 78% - 87%
d. 91% - 98%
47. Sodium hypochlorite ___________
a. Is an effective microcode
b. Effectively dissolve residual tissue
c. Can be used without any concern for its extrusion through
the apex
d. A and B
48. The effectiveness of irrigation and the resulting canal
cleanliness are attributed primarily on _
a. The quality of the microbial control
b. The quality of the coronal seal
c. The quality of canal preparation
d. All of the above
49. Root canal should be cleaned, shaped, and obturated to
the constriction for each of the following reasons except :
a. The constriction is the narrowest diameter of the canal.
b. Lateral and accessory canals are common in the apical 1 to
2 mm of the canal.
c. The clinician can easily identify the constriction .
d. Obturating materials are maintained within the root canal
system.
رد مع اقتباس
8. 24-03-2011 03:01 PM#7
محمد زغلول.د
مشرف قسم طب األسنان
تاريخ التسجيل
Mar 2011
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50. Siqueira et al found sufficient evidence for the
effectiveness of sonic and ultrasonic in root canal
preparation.
a. True
b. False
51. Preparing the curved canal in multiple planes:
a. Permits preservation the natural curvatures
b. Increase the risk of furcal perforation
c. Requires Gates-Glidden drills
d. Accomplished by maintaining apical patency
52. The most common pathway for microbes and microbial
products to reach the pulp is:
a. Direct through a carious lesion
b. Apical extension of periodontal disease
c. Pulpal inflammation and anachoresis
d. From adjoining necrotic pulp and periapical lesions
53. A cellulites between the superficial fascia requires
treatment that include
a. Vigorous antibiotic and supportive measures
b. Endotoxins and drainage
c. Antibiotic and drainage
d. Rest , fluid and supportive measures
54. In order to control the incidence of post-treatment flare
ups of previous periapical area, it is recommended :
a. Use prophylactic antibiotic coverage
b. Instrumentation within the root canal system
c. Antibiotic coverage if symptoms develop
d. The use of antibiotic sensitivity teasting
55. Pulpal and periradicular pathosis results primarily from:
a. Traumatic injury
b. Immunological reaction
c. Bacterial invasion
d. Toxicity of dental material
56. The major component of the pulp is:
a. Collagen
b. Cells
c. Support structures (vessels and nerves)
d. Water
57. Early pulpal infection exhibits:
a. Nonspecific inflammatory response
b. Specific inflammatory response
c. Both Specific and Nonspecific inflammatory response
d. Acute inflammatory response
58. In the inflammatory process, which of the following cell
type acts as a phagocyte
a. Macrophage and neutrophils
b. Lymphocytes and neutrophils
c. Plasma cells and basophils
d. Macrophages and lymphocytes
رد مع اقتباس
9. 24-03-2011 03:02 PM#8
محمد زغلول.د
مشرف قسم طب األسنان
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Mar 2011
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59. Apical true cyst
a. Epithelial lined cavity attached to the root end
b. Epithelial lined cavity free of the root end
c. Connective lined cavity attached to the root end
d. Connective lined cavity free of the root end
60. The following periapical diagnosis, which would most
likely contain pus
a. Necrosis
b. Supportive apical periodontitis
c. Apical cyst
d. Chronic apical periodontitis
e. Acute apical periodontitis
61. Chronic apical periodontitis (Granuloma) present a
histological consistent with:
a. Infection
b. Early cyst formation
c. Healing
d. Immune response
62. Hard tissue deposition in pulp spaces of teeth with root
fracture is
a. Dentin
b. Cementum
c. Osseous tissue
d. A and B
63. According to Ricucci et al (JOE; April 2009) in their
evaluation of teeth with apical periodontitis , the primary
cause of endodontic treatment
a. Intraradicular infection in the form of biofilm
b. Extraradicular bacteria in sessile form
c. Extraredicular bacteria in planktonic form
d. Viruses particularly EBV
64. Hakki et al (JOE; April 2009) investigated the effect of MTA
on the cell survival, gene expression and found that:
a. MTA induced lesser biomineralization
b. MTA did not have negative effect on the viability and
morphology of cementoblasts
c. MTA exhibited cytotoxicity in smaller concentrations
d. MTA is not considered as bio-inductive
65. According to Hammad et al (JOE; April 2009) in
investigating the 3D evaluation of root canal obturation,
a. Gutta flow showed less gaps compared to the other
materials
b. Real seal showed the leas voids compared to the other
materials
c. Endorez showed better adaptability to the root canal walls
d. None of the materials showed gap or voids free obturation
66. According to Komabayashi et al (JOE; Feb 2009) calcium
hydroxide particles size were:
a. Larger than the dentinal tubles
b. Smaller than the dentinal tubles
c. The size as the dentinal tubules
d. Not compatible with the dentinal tubules
رد مع اقتباس
10. 24-03-2011 03:03 PM#9
محمد زغلول.د
مشرف قسم طب األسنان
تاريخ التسجيل
Mar 2011
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67. The ideal pain reliever combination is to alternate
between:
a. Ibuprofen and aspirin
b. Ibuprofen and acetaminophen
c. Ibuprofen and opioids
68. Maximal dose of ibuprofen per day is:
a. 2 grams
b. 3.2 grams
c. 6 grams
69. A sinus tract near the gingival margin may indicate:
a. Periodontal pocket
b. Opening of apical abscess sinus tract
c. Vertical root fracture
70. Pulp necrosis is most likely to occur after which of the
following:
a. Midroot fracture
b. Intrusive luxation
c. Concussion
d. Complicated crown fracture
71. Which medium of storage for an avulsed tooth is best for
prolong ---
a. Hanks balances salt solution
b. Milk
c. Distilled water
d. Saliva
72. Occlusal reduction is indicated in cases with:
a. Irreversible pulpitis
b. Irreversible pulpitis with acute apical periodontitis
c. Chronic apical abscess
d. All of the above
73. The best treatment of irreversible pulpitis at the initial visit
a. Pulpotomy
b. Complete removal of the pulp
c. Single visit endodontics
d. Occlusal reduction to relieve pain
e. A and D
74. …. ….. prognostic factor in fractured crown is:
a. Subgingival extension
b. Degree of fracture
c. Pulp involvement
d. All of the above
75. The direction of cracking in posterior teeth is:
a. Occlusogingival
b. Buccolingual
c. Mesiodistal
d. All of the above
رد مع اقتباس
11. 24-03-2011 03:04 PM#10
محمد زغلول.د
مشرف قسم طب األسنان
تاريخ التسجيل
Mar 2011
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76. C+ files are used for :
a. Negotiation of curved canals
b. Prepare calcified canals
c. Prepare narrow curvedcanal
d. All of the above
77. The differential diagnosis between apical graneuluma and
cyst
a. The size of the lesion in the radiograph
b. Computed tomography scan
c. Presence of hard intraoral swelling
d. All of the above
78. Management of cases with acute apical periodontitis and
diffused swelling
a. I D and antibiotic
b. Canal debridment, Ca(OH)2 dressing and antibiotic and I D
c. Canal debridment, Ca(OH)2 dressing and antibiotic
d. I D only to decrease pain
79. The best antibiotic prescribed in cases of cellulites
a. Amoxicillin
b. Clyndamicine
c. Mitronidazol
d. Erythromycin
e. None of the above
80. The success rate of root canal treatment with apical
periodontitis
a. 62%
b. 80%
c. 40%
81. The success rate of root canal treated teeth with vital pulp
give more than 95%, while presence of apical periodontitis
decrease the rate by:
a. 30%
b. 10 – 25%
c. No difference
82. Periapical lesions of size range 5 – 8 mm heal completely
within:
a. 3 months
b. 5 months
c. 8 months
d. 1 year
83. The time is taken by mandibular nerve block for complete
anesthesia is:
a. 15 min
b. 10 min
c. 5 min
84. Teeth with irreversible pulpitis and acute apical
periodontitis should be monitored every:
a. Week
b. 8 hours
c. 24 to 48 hrs
1.
2. 85. Premedication with NSAIDs in symptomatic irreversible
pulpitis is done to:
a. Relieve pain
b. Raise the pain threshold
c. Decrease postoperative pain
86. Which of the following is not a step as part of the
technique for shallow (partial) Cevk pulpotomy?
a. Rubber dam isolation
b. Pulp tissue removed to about 2 mm below the exposure
c. Use of a large round carbide but in the slow – speed
handpiece to remove tissue.
d. Restoration of the cavity with a hard setting cement
87. What should be considered that determines the treatment
of an intrusive luxation injury?
a. Depth of intrusion
b. Stage of root development
c. Availability of adjacent teeth for stabilization
d. Amount of soft tissue injury
88. Which type of medication is indicated for patterns with
avulsed teeth?
a. Narcotic analgesic
b. Steroid
c. Tetanus booster if more than 5 years since last
administered
d. All of the above
89. What additional treatment should be used on the root
surface if an avulsed tooth replanted after more than 1 hour
after avulsion?
a. Thorough scrubbing with antimicrobial soap for
disinfection
b. Scaling of the root surface
c. Soaking the tooth in 2.4% doxycycline for 5 t0 20 minutes
d. Soaking the tooth in 2.4% solution sodium fluoride for 5 to
20 minutes
90. If several teeth are out of alignment after trauma, the most
reasonable explanation is which of the following:
a. Luxation
b. Subluxation
c. Alveolar fracture
d. Root fracture
91. The restorability of a tooth depends on the following
except
a. Structure integrity
b. Remaining tooth structure
c. Number of roots
d. Level of surrounding bone and amount of periodontal
support
92. The hollow tube theory states that:
a. Inflammation persists at the opened implanted tubes .
b. Inflammation persists at the median portions of the
implanted tubes.
c. Inflammation is absent at the opened end of the implanted
tubes if they are sterile.
d. Necrosis is evident around both ends.
رد مع اقتباس
3. 24-03-2011 03:06 PM#12
محمد زغلول.د
مشرف قسم طب األسنان
تاريخ التسجيل
Mar 2011
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93. A 17 years old patient came to your office right after
receiving trauma on his face. After examination, it was
recorded that tooth #11 was not responding to EPT. The right
management for this case is :
a. Pulpectomy and splinting if the tooth is mobile
b. Pulpotomy and splinting if the tooth is mobile
c. Splinting the tooth if mobile and seeing the patient after 2
weeks
d. None of the above
94. When is root canal treatment is indicated in a mature
avulsed, replanted tooth?
a. At the time of replantation
b. Within 7 to 10 days after replantation
c. After 3 months if there is no response to pulp testing
d. When periapical pathosis noted
95. The purpose of splinting a luxated tooth is to :
a. Prevent resorption
b. Prevent pulpal calcification
c. Allow pulpal recovery
d. Allow re-organization of periodontal ligament fibers
96. Microseal is an obturation technique characterized as :
a. Warm lateral
b. Warm vertical
c. Cold vertical
d. Combination of warm and cold
97. Resilion has been investigated thoroughly for the
existence of mono block but little research has been carried
on its :
a. Estrogenic potential due to its monomer leach out
b. Capability of providing apical seal
c. Capability of providing coronal seal
d. Adaptation to the root canal walls
98. Alpha phase GP is :
a. The natural occurring form
b. Stick more flowable form
c. Amorphous form
99. In preparation for obturation using system B, the selected
master cone should fits:
a. At the full working length
b. Short of the working length by 2 mm
c. Be 2% taper
d. Should be greater taper cone
100. The NiTi end of the Buchanan hand plugger number one
s is approximately:
a. 0.5 mm in diameter
b. 1.0 mm in diameter
c. 1.2 mm in diameter
d. 1.5 mm in diameter
